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EQUINOX INC

Clinic/Center, Rehabilitation, Substance Use Disorder·ALBANY, NY·NPI: 1477695021Share

Compared to Clinic/Center, Rehabilitation, Substance Use Disorder Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.1M is at the 50th percentile among 13 Clinic/Center, Rehabilitation, Substance Use Disorder providers.

Active Billing Period:2018-12→2024-11(72 months)

Total Paid

$19.1M

$19,059,043

Total Claims

43K

Beneficiaries

30K

1.5 claims/patient

Avg Cost/Claim

$440

Monthly Spending Trend

Yearly Spending

2018
$169K
+1380%
2019
$2.5M
+22%
2020
$3.0M
+9%
2021
$3.3M
+32%
2022
$4.4M
-2%
2023
$4.3M
-68%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (H2018 (Psychosocial rehabilitation services, per diem)) accounts for 69% of total spending.

H2018Top 10%

Psychosocial rehabilitation services, per diem

$13.1M

4,294 claims · 68.7%

Your Cost: $3,048.09/claim|Median: $392.63
7.8× median
H2019Top 5%

Therapeutic behavioral services, per 15 min

$2.4M

3,599 claims · 12.7%

Your Cost: $670.96/claim|Median: $84.12
8.0× median
90832Top 10%

Psychotherapy, 30 minutes

$844K

9,602 claims · 4.4%

Your Cost: $87.95/claim|Median: $41.28
2.1× median
90834Top 25%

Psychotherapy, 45 minutes

$794K

8,156 claims · 4.2%

Your Cost: $97.33/claim|Median: $63.65
1.5× median
T1015Top 5%

Clinic visit/encounter, all-inclusive

$681K

2,306 claims · 3.6%

Your Cost: $295.34/claim|Median: $121.16
2.4× median
99213Top 10%

Office/outpatient visit, est. patient, low-mod complexity

$372K

4,556 claims · 2.0%

Your Cost: $81.74/claim|Median: $37.81
2.2× median
G0396Normal range

Alcohol/substance abuse structured assessment, 15-30 minutes

$248K

2,625 claims · 1.3%

Your Cost: $94.63/claim|Median: $40.58
2.3× median
G0397Normal range

$245K

1,917 claims · 1.3%

Your Cost: $127.73/claim|Median: $142.31
0.9× median
H0005Normal range

Alcohol and/or drug services, group counseling

$178K

3,683 claims · 0.9%

Your Cost: $48.27/claim|Median: $47.35
1.0× median
99212Top 5%

Office/outpatient visit, low complexity

$76K

776 claims · 0.4%

Your Cost: $98.45/claim|Median: $25.06
3.9× median
H0001Normal range

Alcohol and/or drug assessment

$58K

425 claims · 0.3%

Your Cost: $137.31/claim|Median: $94.22
1.5× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$21K

507 claims · 0.1%

Your Cost: $42.27/claim|Median: $74.63
0.6× median
99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$11K

107 claims · 0.1%

Your Cost: $98.51/claim|Median: $53.41
1.8× median
90837Normal range

Psychotherapy, 60 minutes

$8K

92 claims · 0.0%

Your Cost: $89.41/claim|Median: $85.66
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$7K

510 claims · 0.0%

Your Cost: $13.15/claim|Median: $9.56
1.4× median
H2010Normal range

Comprehensive medication services, per 15 min

$5K

92 claims · 0.0%

Your Cost: $52.88/claim|Median: $62.69
0.8× median
90853Top 25%

Group psychotherapy

$4K

79 claims · 0.0%

Your Cost: $47.37/claim|Median: $25.02
1.9× median
90791Top 25%

Psychiatric diagnostic evaluation

$3K

18 claims · 0.0%

Your Cost: $152.47/claim|Median: $99.21
1.5× median

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